| Ablate inf turbinate submuc (30802) |
$113.50 |
$227 |
0.1× |
Ankle arthroscopy/surgery (29892) likely a partial charge, not the full procedure |
$58.50 |
$117 |
0.0× |
| Ankle arthroscopy/surgery (29894) |
$11.50 |
$23 |
0.0× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$58.50 |
$117 |
0.0× |
| Ankle scope,part synovectomy (29895) |
$11.50 |
$23 |
0.0× |
| Anoscopy diagnostic (46600) |
$170 |
$340 |
1.3× |
| Application cast elbow finger short arm (29075) |
$161 |
$322 |
0.6× |
| Application Cast Finger (29086) |
$145.72 |
$291.44 |
0.9× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$182.90 |
$365.80 |
1.2× |
| Application cast shoulder hand long arm (29065) |
$184.74 |
$369.48 |
0.7× |
| Application finger splint static (29130) |
$230 |
$460 |
1.8× |
| Application long arm splint shoulder hand (29105) |
$182 |
$364 |
1.2× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$272.62 |
$545.24 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$287.90 |
$575.80 |
1.9× |
| Application of cylinder cast (thigh to ankle) (29365) |
$117 |
$234 |
0.4× |
| Application of long leg cast (29345) |
$96.50 |
$193 |
0.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$205 |
$410 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$155.50 |
$311 |
1.2× |
| Application short leg splint calf foot (29515) |
$58 |
$116 |
0.4× |
| Apply long leg cast brace (29358) |
$198.92 |
$397.84 |
0.7× |
| Apply patella tendon bearing cast (29435) |
$159 |
$318 |
0.6× |
| Apply short leg cast (29405) |
$146.50 |
$293 |
0.5× |
| Apply short leg cast (29425) |
$159 |
$318 |
0.6× |
| Arterial puncture (36600) |
$107 |
$214 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$237 |
$474 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,096 |
$2,192 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$164.88 |
$329.75 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,119 |
$2,238 |
3.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$667.08 |
$1,334.15 |
2.3× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) likely a partial charge, not the full procedure |
$58.50 |
$117 |
0.0× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) likely a partial charge, not the full procedure |
$58.50 |
$117 |
0.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$58.50 |
$117 |
0.0× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$70 |
$140 |
0.0× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$70 |
$140 |
0.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$58.50 |
$117 |
0.0× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$70 |
$140 |
0.0× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$73 |
$146 |
0.0× |
Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) likely a partial charge, not the full procedure |
$70 |
$140 |
0.0× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$73 |
$146 |
0.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$73 |
$146 |
0.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$58.50 |
$117 |
0.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$58.50 |
$117 |
0.0× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$58.50 |
$117 |
0.0× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) likely a partial charge, not the full procedure |
$47 |
$94 |
0.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$21.50 |
$43 |
0.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$68 |
$136 |
0.0× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$3.10 |
$6.21 |
0.0× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$47 |
$94 |
0.0× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820) likely a partial charge, not the full procedure |
$47 |
$94 |
0.0× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$47 |
$94 |
0.0× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) likely a partial charge, not the full procedure |
$58.50 |
$117 |
0.0× |
Arthrs hip debridement/shaving articular crtlg (29862) likely a partial charge, not the full procedure |
$70 |
$140 |
0.0× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$1,119 |
$2,238 |
3.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$104.70 |
$209.40 |
0.5× |
| Biopsy external ear (69100) |
$188.34 |
$376.68 |
0.8× |
| Biopsy Muscle Superficial (20200) |
$377 |
$754 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$662.82 |
$1,325.64 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$650 |
$1,300 |
0.4× |
| Biopsy Testis Needle Separate Procedure (54500) |
$415.32 |
$830.64 |
0.1× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
$716.24 |
$1,432.48 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$49 |
$98 |
0.0× |
| Bladder Irrigation Simple (51700) |
$60.12 |
$120.24 |
0.3× |
| Blood patch (62273) |
$842.50 |
$1,685 |
1.2× |
| Blood transfusion service (36430) |
$608.06 |
$1,216.11 |
1.4× |
| Bone marrow aspiration only (38220) |
$161 |
$322 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$49 |
$98 |
0.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$138.50 |
$277 |
0.7× |
| Chemical Cautery Tissue (17250) |
$133 |
$266 |
0.7× |
| Chemodenerv Musc Migraine (64615) |
$97.94 |
$195.88 |
0.3× |
| Chest tube placement (32551) |
$152 |
$304 |
0.1× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$663.50 |
$1,327 |
0.4× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$532.96 |
$1,065.92 |
2.3× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,063.62 |
$2,127.24 |
0.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$583.07 |
$1,166.14 |
2.5× |
| Closed Rx Med Malleolus Fx (27760) |
$605.18 |
$1,210.36 |
2.6× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$991 |
$1,982 |
0.6× |
| Closed rx prox/neck femur fx,manip (27232) |
$1,595 |
$3,190 |
1.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,023.36 |
$2,046.72 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$469 |
$938 |
2.0× |
| Closed Rx Trimalleolar Fx (27816) |
$602.50 |
$1,205 |
2.6× |
| Closed Treat Vert Body Fract (22310) |
$672 |
$1,344 |
2.9× |
| Closed treat wrist dislocation (25660) |
$737.50 |
$1,475 |
3.1× |
| Closed treatment nasal fracture w/stabilization (21320) |
$620.50 |
$1,241 |
0.2× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$597 |
$1,194 |
2.5× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$596 |
$1,192 |
2.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$333 |
$666 |
1.4× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$370.50 |
$741 |
1.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$900.74 |
$1,801.48 |
3.8× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$931 |
$1,862 |
0.6× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$463.50 |
$927 |
2.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$208.50 |
$417 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$617 |
$1,234 |
2.6× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$476.50 |
$953 |
2.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$875.68 |
$1,751.36 |
0.6× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$994 |
$1,988 |
0.7× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,013.50 |
$2,027 |
0.7× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,471 |
$2,942 |
2.9× |
| Closed tx nasal fracture w/o stabilization (21315) |
$478.50 |
$957 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,123 |
$2,246 |
4.8× |
| Closed tx patellar fracture w/o manipulation (27520) |
$581.50 |
$1,163 |
2.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$801.50 |
$1,603 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$302 |
$604 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$904 |
$1,808 |
0.6× |
| Closed tx scapular fracture w/o manipulation (23570) |
$429.50 |
$859 |
1.8× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$781.50 |
$1,563 |
3.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$788 |
$1,576 |
0.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$256 |
$512 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$829.42 |
$1,658.84 |
0.5× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$518.33 |
$1,036.66 |
2.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$378.79 |
$757.58 |
1.6× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$781.50 |
$1,563 |
3.3× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$708.88 |
$1,417.76 |
0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$804.64 |
$1,609.28 |
3.4× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$566 |
$1,132 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$804.64 |
$1,609.28 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$782 |
$1,564 |
3.3× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$499 |
$998 |
0.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$348 |
$696 |
1.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$433.22 |
$866.44 |
1.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$616 |
$1,232 |
2.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$400 |
$800 |
1.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$525.50 |
$1,051 |
2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$430.26 |
$860.52 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$334.50 |
$669 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$635.94 |
$1,271.88 |
0.4× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,634 |
$3,268 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$982.50 |
$1,965 |
4.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$878.50 |
$1,757 |
3.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$288 |
$576 |
1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$233.50 |
$467 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$811.50 |
$1,623 |
3.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$291.50 |
$583 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$628.50 |
$1,257 |
2.7× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$757.22 |
$1,514.44 |
0.5× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$856 |
$1,712 |
0.6× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,756 |
$3,512 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$681.50 |
$1,363 |
2.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$598 |
$1,196 |
2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$315 |
$630 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$666.50 |
$1,333 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$496.50 |
$993 |
2.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$261 |
$522 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$601.50 |
$1,203 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$681.50 |
$1,363 |
2.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$845 |
$1,690 |
3.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,332.50 |
$2,665 |
0.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$318 |
$636 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$924.44 |
$1,848.88 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$158.42 |
$316.84 |
0.7× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,104 |
$2,208 |
0.7× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$985.26 |
$1,970.52 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,210.48 |
$2,420.96 |
0.8× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,854 |
$3,708 |
1.2× |
| Complex Drainage, Wound (10180) |
$1,945 |
$3,890 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$132.75 |
$265.50 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$152 |
$304 |
1.2× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy);simple, with posterior nasal packs,… (42970) |
$324.10 |
$648.21 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$156.50 |
$313 |
1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,079.25 |
$2,158.50 |
2.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,590 |
$3,180 |
0.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$717 |
$1,434 |
1.1× |
| Debride nail 1-5 (11720) |
$61 |
$122 |
1.1× |
| Debride nail 6 or more (11721) |
$66 |
$132 |
1.2× |
| Debride skin musc at fx site (11011) |
$417 |
$834 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$351.09 |
$702.18 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$855.50 |
$1,711 |
1.2× |
| Destruction benign lesions 15 or more (17111) |
$137.50 |
$275 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$134.50 |
$269 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$200 |
$400 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$200 |
$400 |
1.0× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$172 |
$344 |
0.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$210 |
$420 |
1.1× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$214 |
$428 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$176 |
$352 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$216 |
$432 |
1.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$170 |
$340 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$275.10 |
$550.20 |
1.4× |
| Drain hand tendon sheath (26020) |
$1,031.50 |
$2,063 |
0.3× |
| Drain outer ear canal lesion (69020) |
$280.22 |
$560.44 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$297.21 |
$594.42 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$735.50 |
$1,471 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$437.50 |
$875 |
2.3× |
| Drainage of gum lesion (41800) |
$308 |
$616 |
2.4× |
| Drainage of hematoma/fluid (10140) |
$842.50 |
$1,685 |
0.5× |
| Drainage of lymph node abscess or lymphadenitis; extensive (38305) |
$969.28 |
$1,938.56 |
0.3× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$5.70 |
$11.40 |
0.0× |
| Drainage of palm bursas (26030) |
$1,359.50 |
$2,719 |
0.4× |
| Drainage skenes gland abscess (53060) |
$389.50 |
$779 |
0.2× |
| Draw blood off venous device (36591) |
$71.50 |
$143 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$383.80 |
$767.60 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$252.50 |
$505 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$152.49 |
$304.98 |
0.8× |
| Dx bone marrow bx & aspir (38222) |
$56.50 |
$113 |
0.0× |
| Elbow arthroscopy/surgery (29838) |
$70 |
$140 |
0.0× |
| Elbow arthroscopy/surgery (29837) |
$70 |
$140 |
0.0× |
| Evacuation of subungual hematoma (11740) |
$67.50 |
$135 |
0.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,054.20 |
$2,108.40 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$484.50 |
$969 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,102 |
$2,204 |
0.7× |
| Exc face les sbq 2 cm/> (21012) |
$769.50 |
$1,539 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$328.50 |
$657 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$576.50 |
$1,153 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$836 |
$1,672 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$523.94 |
$1,047.88 |
0.3× |
| Exc neck tum deep < 5 cm (21556) |
$1,054 |
$2,108 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$530.50 |
$1,061 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$332.75 |
$665.50 |
0.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$347.50 |
$695 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$443 |
$886 |
0.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$576.50 |
$1,153 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,183 |
$2,366 |
0.7× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,401.50 |
$2,803 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,900.50 |
$3,801 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,183 |
$2,366 |
0.7× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$311 |
$622 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$277 |
$554 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$312.75 |
$625.50 |
0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$773.50 |
$1,547 |
0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$660.50 |
$1,321 |
0.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$754 |
$1,508 |
0.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$842.46 |
$1,684.92 |
0.5× |
| Excision external ear partial simple repair (69110) |
$923.22 |
$1,846.44 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$250 |
$500 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$340.50 |
$681 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$329.50 |
$659 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$285 |
$570 |
0.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$264.50 |
$529 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$255.50 |
$511 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$291 |
$582 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$470.75 |
$941.50 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$518.75 |
$1,037.50 |
0.8× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$860.50 |
$1,721 |
0.6× |
| Excision of lesion of tongue without closure (41110) |
$305 |
$610 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$698 |
$1,396 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$482.25 |
$964.50 |
0.3× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$901 |
$1,802 |
0.6× |
| Excision of mouth lesion (41116) |
$527 |
$1,054 |
0.2× |
| Excision of nail fold toe (11765) |
$201.50 |
$403 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,635 |
$3,270 |
0.6× |
| Excision olecranon bursa (24105) |
$703.64 |
$1,407.28 |
0.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$808.88 |
$1,617.76 |
0.3× |
| Excision, nasal polyp(s), simple (30110) |
$487.64 |
$975.28 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$1,186.50 |
$2,373 |
0.8× |
| Explore limb vessels (35860) |
$130 |
$260 |
0.0× |
| Fine needle aspiration without imaging guidance (10021) |
$198.20 |
$396.40 |
0.5× |
| Fixation of shoulder (23700) |
$383.42 |
$766.84 |
0.2× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$161 |
$322 |
0.1× |
Fusion of foot bones (28715) likely a partial charge, not the full procedure |
$315.75 |
$631.50 |
0.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$163 |
$326 |
0.8× |
| Guide Cathet Fluid Drainage (10030) |
$590 |
$1,180 |
0.9× |
| I&d abscess simple (10060) |
$274.36 |
$548.72 |
1.4× |
| I&d below fascia foot 1 bursal space (28002) |
$489.08 |
$978.16 |
0.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,319.78 |
$2,639.56 |
0.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$861 |
$1,722 |
0.3× |
| I&d perianal abscess superficial (46050) |
$410.25 |
$820.50 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$312 |
$624 |
0.5× |
| I&d submucosal abscess rectum (45005) |
$633.10 |
$1,266.20 |
0.6× |
| I&D Upper Arm/Elbow Bursa (23931) |
$406.17 |
$812.34 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$483.50 |
$967 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,042.18 |
$2,084.36 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,177 |
$2,354 |
1.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$200.44 |
$400.88 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$260.43 |
$520.86 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$387.74 |
$775.48 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$203.04 |
$406.08 |
0.7× |
| Incision bone cortex hand/finger (26034) |
$1,369.50 |
$2,739 |
0.9× |
| Incision of lingual frenum (41010) |
$303.50 |
$607 |
0.2× |
| Incision of rectal abscess (46040) |
$630 |
$1,260 |
0.6× |
| Incision thrombosed hemorrhoid external (46083) |
$229 |
$458 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$327 |
$654 |
0.5× |
| Initial tx 1st degree burn local tx (16000) |
$508.75 |
$1,017.50 |
2.7× |
| Inj dupuytren cord w/enzyme (20527) |
$667.08 |
$1,334.15 |
2.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$66.80 |
$133.60 |
0.2× |
| Inject Nerv Blck,Pudendal (64430) |
$106.28 |
$212.56 |
0.1× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$245.74 |
$491.48 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$300 |
$600 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$351.36 |
$702.72 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$90 |
$180 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$125 |
$250 |
0.4× |
| Injection therapeutic carpal tunnel (20526) |
$115.50 |
$231 |
0.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$157.50 |
$315 |
0.5× |
| Injection, anesthetic agent; vagus nerve (64408) |
$87.70 |
$175.40 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$235.50 |
$471 |
1.9× |
| Insert Drug Implant Device (11981) |
$201.50 |
$403 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$68.50 |
$137 |
0.0× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$149.76 |
$299.52 |
0.0× |
| Insert picc cath (36569) |
$148.50 |
$297 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$189.50 |
$379 |
1.5× |
Insert Tunneled Cv Cath With Pump (36563) likely a partial charge, not the full procedure |
$58.50 |
$117 |
0.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$131 |
$262 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$71.50 |
$143 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$161 |
$322 |
0.7× |
| Knee arthroscopy/surgery (29883) |
$58.50 |
$117 |
0.0× |
| Knee arthroscopy/surgery (29876) |
$73 |
$146 |
0.0× |
| Knee arthroscopy/surgery (29851) |
$50.50 |
$101 |
0.0× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) unusually low: confirm this is the full procedure |
$2,150.72 |
$4,301.44 |
0.3× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) likely a partial charge, not the full procedure |
$1,897.70 |
$3,795.40 |
0.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$75 |
$150 |
0.0× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$489.96 |
$979.92 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$320 |
$640 |
0.4× |
| Manipulation, elbow, under anesthesia (24300) |
$850.58 |
$1,701.16 |
0.6× |
| Nasal sinus therapy (30210) |
$199.60 |
$399.20 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$148 |
$296 |
0.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$45 |
$90 |
0.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$287.86 |
$575.72 |
0.3× |
Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$401.02 |
$802.04 |
0.1× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$1,453.92 |
$2,907.84 |
0.5× |
Open tx carpal scaphoid navicular fracture (25628) likely a partial charge, not the full procedure |
$1,410.96 |
$2,821.92 |
0.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$984.50 |
$1,969 |
0.3× |
Osteochondral allograft, knee, open (27415) likely a partial charge, not the full procedure |
$2,133.76 |
$4,267.53 |
0.2× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$293.54 |
$587.08 |
0.2× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,487.96 |
$2,975.92 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$473 |
$946 |
2.0× |
| Placement of needle for intraosseous infusion (36680) |
$69 |
$138 |
0.2× |
| Preputial Stretching (54450) |
$88 |
$176 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$133.70 |
$267.40 |
0.3× |
| Puncture Aspiration (10160) |
$208.33 |
$416.66 |
0.5× |
Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344) unusually low: confirm this is the full procedure |
$2,140.12 |
$4,280.24 |
0.3× |
| Removal fb intranasal (30300) |
$151.51 |
$303.02 |
1.2× |
| Removal Foreign Body Foot Complicated (28193) |
$894.66 |
$1,789.32 |
0.6× |
| Removal foreign body foot deep (28192) |
$894.66 |
$1,789.32 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$439.25 |
$878.50 |
0.6× |
| Removal foreign body pharynx (42809) |
$415.77 |
$831.54 |
1.0× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$113.50 |
$227 |
0.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$85.47 |
$170.94 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$21.50 |
$43 |
0.4× |
| Removal of arm foreign body (24200) |
$771.50 |
$1,543 |
0.5× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$306.70 |
$613.40 |
0.5× |
| Removal of nail bed (11750) |
$321 |
$642 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$108 |
$216 |
0.6× |
| Remove drug implant device (11982) |
$209.50 |
$419 |
0.5× |
| Remove Eyelid Foreign Body (67938) |
$258 |
$516 |
0.9× |
| Remove foreign body from eye (65210) |
$203 |
$406 |
0.5× |
| Remove in/ex hem groups 2+ (46260) |
$679.42 |
$1,358.85 |
0.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$184.58 |
$369.16 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$161 |
$322 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$131.37 |
$262.74 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$509.50 |
$1,019 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$700 |
$1,400 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$540 |
$1,080 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$574 |
$1,148 |
1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$422 |
$844 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$514 |
$1,028 |
1.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$396.50 |
$793 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$475.50 |
$951 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$765 |
$1,530 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$313.36 |
$626.72 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$307.50 |
$615 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,040 |
$2,080 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$414 |
$828 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$603.50 |
$1,207 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$622 |
$1,244 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$254 |
$508 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$322.75 |
$645.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$497.50 |
$995 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$586.50 |
$1,173 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$351 |
$702 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$298.50 |
$597 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$738 |
$1,476 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$626 |
$1,252 |
1.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$862 |
$1,724 |
0.4× |
| Repair of nail bed (11760) |
$388 |
$776 |
0.5× |
| Repair Tongue Laceration (41250) |
$363 |
$726 |
0.9× |
| Revise median n/carpal tunnel surg (64721) |
$866.40 |
$1,732.80 |
0.5× |
| Revise ulnar nerve at elbow (64718) |
$1,172.44 |
$2,344.88 |
0.6× |
| Revise ulnar nerve at wrist (64719) |
$796.12 |
$1,592.24 |
0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$457 |
$914 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$144 |
$288 |
1.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,720 |
$3,440 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$111 |
$222 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$140.50 |
$281 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$53 |
$106 |
0.1× |
| Shldr arthroscop,lyse adhesns (29825) |
$58.50 |
$117 |
0.0× |
| Shoulder arthroscopy (29805) |
$30 |
$60 |
0.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$170 |
$340 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$705 |
$1,410 |
1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$224.25 |
$448.50 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$309 |
$618 |
1.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$911.50 |
$1,823 |
2.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$229.50 |
$459 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$461.50 |
$923 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$275.10 |
$550.20 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$557 |
$1,114 |
2.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$333.50 |
$667 |
1.7× |
| Skin splt grft trnk/arm/leg (15100) |
$2,090 |
$4,180 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$981 |
$1,962 |
1.4× |
| Skin tissue rearrangement (14040) |
$850 |
$1,700 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$246.50 |
$493 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$409 |
$818 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$701.75 |
$1,403.50 |
1.8× |
| Spinal puncture lumbar diagnostic (62270) |
$972.78 |
$1,945.56 |
1.4× |
| Spinal Puncture Therapeutic (62272) |
$173.86 |
$347.72 |
0.3× |
| Strapping ankle (29540) |
$49.50 |
$99 |
0.3× |
| Strapping elbow/wrist (29260) |
$84 |
$168 |
1.5× |
| Strapping hand/finger (29280) |
$108 |
$216 |
1.9× |
| Strapping Hip (29520) |
$69.50 |
$139 |
0.5× |
| Strapping knee (29530) |
$49.50 |
$99 |
0.4× |
| Strapping shoulder (29240) |
$86.50 |
$173 |
0.7× |
| Strapping thorax (29200) |
$86.50 |
$173 |
0.6× |
| Strapping toes (29550) |
$172.74 |
$345.48 |
3.1× |
| Strapping unna boot (29580) |
$84 |
$168 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$173.38 |
$346.75 |
0.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$161 |
$322 |
0.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$161 |
$322 |
0.3× |
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) likely a partial charge, not the full procedure |
$597.66 |
$1,195.32 |
0.1× |
Tibial arthroscopy/surgery (29855) likely a partial charge, not the full procedure |
$50.50 |
$101 |
0.0× |
Tibial arthroscopy/surgery (29856) likely a partial charge, not the full procedure |
$50.50 |
$101 |
0.0× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$1,704 |
$3,408 |
0.9× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$338.70 |
$677.40 |
0.7× |
| Tracheostomy planned (31600) |
$599.14 |
$1,198.28 |
0.2× |
Treat elbow fracture (24635) likely a partial charge, not the full procedure |
$2,043.50 |
$4,087 |
0.3× |
| Treat finger dislocation (26775) |
$773.12 |
$1,546.24 |
2.9× |
| Treat Fracture Radius & Ulna (25560) |
$507 |
$1,014 |
2.2× |
| Treat humerus fracture (24500) |
$636.50 |
$1,273 |
2.7× |
| Treat humerus fracture (24577) |
$1,828 |
$3,656 |
1.2× |
| Treat humerus fracture (23600) |
$395 |
$790 |
1.7× |
Treat scapula fracture (23585) likely a partial charge, not the full procedure |
$1,916.56 |
$3,833.12 |
0.3× |
Treat ulnar fracture (24685) likely a partial charge, not the full procedure |
$965.50 |
$1,931 |
0.1× |
| Treat wrist bone fracture (25635) |
$763.50 |
$1,527 |
0.5× |
| Treat wrist bone fracture (25622) |
$558 |
$1,116 |
2.4× |
| Treat Wrist Bone Fracture (25630) |
$544.50 |
$1,089 |
2.3× |
| Treatment closed elbow dislocation req anes (24605) |
$1,179.50 |
$2,359 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,380.17 |
$2,760.34 |
5.9× |
| Treatment of foot infection (28003) |
$752.42 |
$1,504.84 |
0.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$459.89 |
$919.78 |
2.0× |
| Trim skin lesions 2 to 4 (11056) |
$85.50 |
$171 |
0.4× |
| Trim skin lesions over 4 (11057) |
$90 |
$180 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$54 |
$108 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$535 |
$1,070 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$341.50 |
$683 |
0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$508.42 |
$1,016.84 |
0.3× |
| Unlisted Procedure Trachea Bronchi (31899) |
$138.50 |
$277 |
0.7× |
| Vaginal delivery only (59409) |
$1,220 |
$2,440 |
0.4× |
| Venipuncture (36415) |
$13.50 |
$27 |
1.4× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$52.50 |
$105 |
0.4× |
| Wrist arthroscop,excis triang cart (29846) |
$45 |
$90 |
0.0× |
| Wrist arthroscopy (29840) |
$70 |
$140 |
0.0× |